person
Theodore Edmund Staahl, MD
Specialist in Modesto, California
NPI 1295896041

Theodore Edmund Staahl is a Specialist based in Modesto, CA. Theodore Edmund Staahl practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Theodore Edmund Staahl is 1295896041 and holds a License No. G037452 (California).

The current practice location address for Theodore Edmund Staahl is 1329 Spanos Ct Ste A-1, Modesto, CA and can be reached out via phone at 209-577-5700 and via fax at 209-577-5968. You can also correspond with Theodore Edmund Staahl through the mailing address at 1329 SPANOS CT STE A-1, MODESTO, CA - 95355-2806 (mailing address contact number: 209-577-5700).

Location: 1329 Spanos Ct Ste A-1, Modesto, CA, 95355-2806
person
Provider Profile Details
NPI Number
1295896041
Provider Name
Theodore Edmund Staahl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1329 Spanos Ct Ste A-1, Modesto, CA, 95355-2806
Phone Number
209-577-5700
Fax Number
209-577-5968
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1329 Spanos Ct Ste A-1
City
State
Zip
95355-2806
Phone Number
209-577-5700
Fax Number
209-577-5968
person
Provider Business Mailing Address Details
Address
1329 Spanos Ct Ste A-1
City
State
Zip
95355-2806
Phone Number
209-577-5700
Fax Number
209-577-5968
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G037452 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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